A nurse is caring for a client in Buck's skin traction. Which of the following indicates a need for corrective action?

A) The traction weights are touching the floor.
B) The traction is being applied continuously.
C) The countertraction is opposite to the pull of traction.
D) The client's mobility is limited.


A
Feedback:
To maintain an effective traction, the traction weight should be suspended without interference and not touching the floor. The nurse should keep the traction applied continuously to get the desired effect unless there are medical orders otherwise. The countertraction must be maintained in a direction opposite to the pull of traction for effective traction. The client's position is limited as per the standards of care to avoid any interference in the traction pull and counterpull action.

Nursing

You might also like to view...

An adult patient has undergone genetic testing and the results reveal a genetic mutation that allows clinicians to make accurate predictions about disease onset and progression

This model for presymptomatic testing is most likely being used to address what disease? A) Alzheimer's disease B) Huntington disease C) Tay-Sachs disease D) Sickle cell disease

Nursing

The nurse is providing discharge instructions to a female client following inpatient therapy for a gonorrhea infection. The client is being discharged on doxycycline (Vibramycin) for 7 days

Which nursing instruction is essential for a therapeutic outcome? A) Obtain a pulse prior to administering medication. B) Use an alternate form of birth control. C) Complete all prescribed medication. D) Take medication on an empty stomach.

Nursing

During assessment of an older adult, which finding does the nurse immediately report to the health care provider?

a. Yellowing or bluing of the sclera b. Lack of discrimination between green and violet c. An opaque, bluish-white ring within the outer edge of the cornea d. Pupil constriction in response to light oc-curring in 2 seconds

Nursing

During the first few days of starvation, the brain obtains glucose that is produced from

a. glycogen via glycolysis. b. fatty acids via lipogenesis. c. amino acids via gluconeogenesis. d. branched-chain amino acids via deamina-tion.

Nursing